Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385466745> ?p ?o ?g. }
Showing items 1 to 54 of
54
with 100 items per page.
- W4385466745 abstract "We present the case of a 68-year-old female with no relevant medical history, who is evaluated for weight loss. An initial blood test showed mild hypertransaminasemia with negative serologies, autoimmunity and tumoral markers. Abdominopelvic CT revealed multiple liver lesions with ring enhancement, compatible with metastasis, as well as suspicious subcarinal adenopathy. The study was completed with gastroscopy and colonoscopy, mammography and fibrobroncoscopy with punction of the adenopathy, without finding out any lesion. Abdominal ultrasound was performed, presenting multiple isoecogenic liver lesions along both lobes, with a maximum diameter of 35 mm, surrounded by a hypoechoic halo, and no Doppler Signal. In contrast-enhanced ultrasound (CEUS), these lesions had centripetal enhancement in the arterial phase and progressive washout, compatible with metastasis as well. A percutaneous biopsy of one of the lesions was taken, showing infiltration of diffuse large B-cell lymphoma. At this moment, the patient is in remission after taking chemotherapy treatment. No-Hodgkin (NH) diffuse large B-cell lymphoma is the most common NH lymphoma. The gastrointestinal tract is the most frequent extranodal location, being observed the secondary liver lymphoma in 50% of patients althoug the primary one is rarely noted. Imaging techniques have a central role in diagnosis, staging, and evaluating treatment response, even though a histological diagnosis is almost always necessary. It usually presents as multifocal or diffuse liver damage, represented as hypoechoic lesions in ultrasound, sometimes with a hyperechoic center, and as contrast enhancement in the arterial phase in CEUS with progressive washout. If eco-guided percutaneous access is not possible, an ultrasound endoscopy could be used in order to obtain samples by fine needle puncture-aspiration and, this way, get a histological diagnosis, as H. He and L. Zhang described in a similar patient with a diffuse NHL with pancreatic metastasis. In our patient, the lesions were big enough and the access was appropriate for a percutaneous biopsy, so this way we could perform a liver biopsy to achieve the final diagnosis." @default.
- W4385466745 created "2023-08-02" @default.
- W4385466745 creator A5010216469 @default.
- W4385466745 creator A5027878547 @default.
- W4385466745 creator A5052766222 @default.
- W4385466745 date "2023-01-01" @default.
- W4385466745 modified "2023-09-27" @default.
- W4385466745 title "An unusual cause of liver lesions." @default.
- W4385466745 cites W2072646319 @default.
- W4385466745 cites W2130115028 @default.
- W4385466745 cites W2981498720 @default.
- W4385466745 cites W4312113988 @default.
- W4385466745 cites W4385986623 @default.
- W4385466745 doi "https://doi.org/10.17235/reed.2023.9787/2023" @default.
- W4385466745 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37539593" @default.
- W4385466745 hasPublicationYear "2023" @default.
- W4385466745 type Work @default.
- W4385466745 citedByCount "0" @default.
- W4385466745 crossrefType "journal-article" @default.
- W4385466745 hasAuthorship W4385466745A5010216469 @default.
- W4385466745 hasAuthorship W4385466745A5027878547 @default.
- W4385466745 hasAuthorship W4385466745A5052766222 @default.
- W4385466745 hasBestOaLocation W43854667451 @default.
- W4385466745 hasConcept C126838900 @default.
- W4385466745 hasConcept C142724271 @default.
- W4385466745 hasConcept C143753070 @default.
- W4385466745 hasConcept C2775934546 @default.
- W4385466745 hasConcept C2779338263 @default.
- W4385466745 hasConcept C2781156865 @default.
- W4385466745 hasConcept C71924100 @default.
- W4385466745 hasConceptScore W4385466745C126838900 @default.
- W4385466745 hasConceptScore W4385466745C142724271 @default.
- W4385466745 hasConceptScore W4385466745C143753070 @default.
- W4385466745 hasConceptScore W4385466745C2775934546 @default.
- W4385466745 hasConceptScore W4385466745C2779338263 @default.
- W4385466745 hasConceptScore W4385466745C2781156865 @default.
- W4385466745 hasConceptScore W4385466745C71924100 @default.
- W4385466745 hasLocation W43854667451 @default.
- W4385466745 hasLocation W43854667452 @default.
- W4385466745 hasOpenAccess W4385466745 @default.
- W4385466745 hasPrimaryLocation W43854667451 @default.
- W4385466745 hasRelatedWork W2013691450 @default.
- W4385466745 hasRelatedWork W2113909686 @default.
- W4385466745 hasRelatedWork W2219774581 @default.
- W4385466745 hasRelatedWork W2348393719 @default.
- W4385466745 hasRelatedWork W2358705497 @default.
- W4385466745 hasRelatedWork W2363784292 @default.
- W4385466745 hasRelatedWork W2365810144 @default.
- W4385466745 hasRelatedWork W2390577146 @default.
- W4385466745 hasRelatedWork W2410762110 @default.
- W4385466745 hasRelatedWork W59148547 @default.
- W4385466745 isParatext "false" @default.
- W4385466745 isRetracted "false" @default.
- W4385466745 workType "article" @default.